NPIMap

Organization Active NPI

Psa Anesthesia PLLC

Doing business as MedStar Anesthesia

  • Anesthesiology Physician
  • Austin, TX
National Provider Identifier
1477828028
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
PSA ANESTHESIA PLLC
Doing business as
MedStar Anesthesia
Practice address
4100 Duval Rd Ste 100
Austin, TX 78759-3550
Phone
(855) 876-7246
Fax
(855) 277-5070
NPI assigned
Mar 15, 2012
Last updated
Sep 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Angela Opalak
Title
Vice President of RCM
Phone
(512) 485-7200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary
Ambulatory Surgical Clinic/Center 261QA1903X

Addresses

Primary practice location

4100 Duval Rd Ste 100
Austin, TX 78759-3550

Mailing address

PO Box 208379
Dallas, TX 75320-8379
Phone (855) 876-7246

Other practice location 1

701 E Fm 1626 Ste 300
Austin, TX 78748-6035
Phone (855) 876-7246

Other practice location 2

2701 E Stan Schlueter Loop Ste 100
Killeen, TX 76542-3810
Phone (855) 876-7246

Other names 1

  • MedStar Anesthesia Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120716000229 TX Part B Supplier - Clinic/Group Practice 2466618673 Receives reassigned benefits from 15 practitioners
1 other NPI on this enrollment
Practice locations: Austin, TX; Killeen, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

701 E FM 1626
Ste 300
Austin, TX 78748

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1477828028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208379",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208379",
            "telephone_number": "855-876-7246",
            "fax_number": "844-364-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 DUVAL RD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593550",
            "telephone_number": "855-876-7246",
            "fax_number": "855-277-5070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 E Fm 1626 Ste 300",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787486035",
            "country_code": "US",
            "telephone_number": "855-876-7246",
            "fax_number": "855-277-5070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2701 E Stan Schlueter Loop Ste 100",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765423810",
            "country_code": "US",
            "telephone_number": "855-876-7246",
            "fax_number": "855-277-5070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PSA ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "OPALAK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "VICE PRESIDENT OF RCM",
        "authorized_official_telephone_number": "512-485-7200"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedStar Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.